Emily Ann Gopoian

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704345859NSA210RR Issued in MI

Practice address

7362 Village Square Dr
West Bloomfield, MI 48322-3385

Phone

(734) 837-2151

NPI assigned

Oct 6, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Progressive Health Care, P.C.

  • Internal Medicine Physician
  • Taylor, MI
  • NPI 1285978528
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1700548906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 VILLAGE SQUARE DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223385",
            "telephone_number": "734-837-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 VILLAGE SQUARE DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223385",
            "telephone_number": "734-837-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPOIAN",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704345859NSA210RR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanice Carnella Goodman-Taylor
• Amanda Goodman
• Emilie Goodnight, OTL
• Cheryl Abel Goodwin, LMSW
• Lisa Goolsby
• Gina Gora, MD
• Shira G Gordinier, DO
• Gordon Chiropractic P.C.
• Daniel Steven Gordon, D.C.
• Janieshia Jade Gordon

• Family Nurse Practitioner in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.